Cottage School Registration
Parent/Guardian Name and phone number *
Your physical address and electronic address (email)
Child (rens) name , birth date, & age
Do any of the students* have any medical conditions of which we should be aware of? *
If so, please explain:
Does the student take any medications regularly?
Clear selection
Please list.
Are you interested in carpooling, upkeep, teaching, to lower your rate and help other families? *
We offer child care before and after class day. Would you be interested in that? *
Is your child a homeschooler or public school student? *
Weekly Rates: Homeschoolers $200 base Tutor Week $150 Supplies are an additional fee. Agree *
I hereby release forever discharge owners, management, instructors, staff, guests, other participants and any and all other parties of liability for any claims, demands, actions, and causes, of every name and nature which may arise from participating in said program by All School Cottage and tutoring. Click yes if you agree. *
Digital Signature & Date *
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